The validity and reliability of a new scale to measure patient-determined communication barriers in hospitals

Year 2017, Volume: 15 Issue: 3, 187 - 200, 05.01.2018

Emine Şahin , Bayram Oğuz Aydın Murat Taner Gülşen Seval Kul

https://doi.org/10.20518/tjph.375335

Cited By: 1

Abstract

Abstract

Objective: Creating an environment that boosts effective communication between patients and healthcare personnel, and identifying factors that impair good communication, have favorable results on the quality of healthcare services. The primary goal of this study was to develop a new valid and reliable scale that could be used to identify communication barriers at the patient level. Method: The study was conducted with 421 patients receiving healthcare services at Gaziantep University Şahinbey Research and Practice Hospital. The respondents varied in age, gender, education level and by the department to which they were admitted. Descriptive statistics, exploratory factor analysis, confirmatory factor analysis and Cronbach’s alpha test were utilized. Results: Based on the analysis of the data collected, a new valid and reliable scale (Cronbach’s alpha= 0.81) was constructed, consisting of 28 items and 7 sub-dimensions. Conclusion: The proposed scale showed that the main factors leading to the creation of communication barriers were waiting times, fear and anxiety experienced by the patients, security staff, patients’ need for attention, lack of trust towards healthcare personnel, concern and need for being informed and prejudice.

Keywords

Health communication, communication barriers, patients, healthcare personnel

Hastanelerde hastalar tarafından belirlenen iletişim engellerini ölçen yeni bir ölçeğin geçerlik ve güvenilirliği

Abstract

Amaç: Hasta ve sağlık çalışanları arasındaki iletişimi engelleyen faktörleri belirlemenin ve etkili
bir iletişim ortamı oluşturmanın sağlık hizmetleri üzerinde olumlu sonuçları bulunmaktadır. Bu
çalışmanın temel amacı hastalar tarafından belirlenen iletişim engellerini ortaya koymada
kullanılabilecek geçerli ve güvenilir yeni bir ölçek geliştirmektir. Yöntem: Çalışma hastanede
sağlık hizmeti alan cinsiyet, yaş, eğitim durumu ve başvurduğu sağlık birimine göre farklılık
taşıyan 421 hasta ile gerçekleştirilmiştir. Tanımlayıcı istatistikler, açımlayıcı faktör analizi,
doğrulayıcı faktör analizi ve Cronbach’s alpha testi uygulanmıştır. Bulgular: Yapılan çalışmada
toplanan verilerin analizi neticesinde 28 madde ve 7 alt boyuttan oluşan geçerli ve güvenilir
(Cronbach’s alpha= .81) yeni bir ölçek ortaya konulmuştur. Sonuç: Çalışma neticesinde ortaya
konan ölçekte hasta düzeyinde iletişimi engelleyen faktörler; bekleme süresi, hastadaki kaygı ve
endişe, güvenlik personeli, hastanın ilgi ihtiyacı, sağlık personeline duyulan güvensizlik,
merak/bilgi ihtiyacı ve ön yargı olarak belirlenmiştir.

Keywords

Sağlık iletişimi, iletişim engelleri, hasta, sağlık çalışanları, hastane

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